Dialysis of Northern Illinois LLC

NPI #1871092510 in Rockford, Illinois

Provider Information

NPI Number
1871092510
Entity Type
Organization
Organization Name
Dialysis of Northern Illinois LLC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Feb 8, 2018
Last Updated
Jun 18, 2025

Practice Location

Address
3927 W RIVERSIDE BLVD
ZIP Code
61101-9507
Phone
(815) 963-8010

Authorized Official

Name
SAMUEL T WEY
Title
VP LICENSURE&CERTIFICATION
Phone
(615) 341-6641

Specialties & Taxonomy Codes

Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) TreatmentEnd-Stage Renal Disease (ESRD) Treatment

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